Sedation and Implant Denstistry - Dr Anderson and Dr Yang PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SEDATION AND IMPLANT DENSTISTRY - DR ANDERSON AND DR YANG PLLC

Practice address

1815 Suburban Ave Ste 200
Saint Paul, MN 55119-4380

Phone

(651) 735-4661

Fax

(651) 735-4661

NPI assigned

Dec 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dara Thao

Title

Office Manager

Phone

(651) 735-4661

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karl Andrew Anderson, DDS

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1447340419
  NPD (past)
• Russell Craig Haugen, DDS

  • Dentist
  • Saint Paul, MN
  • NPI 1770769226
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1831857788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SUBURBAN AVE STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194380",
            "telephone_number": "651-735-4661",
            "fax_number": "651-735-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SUBURBAN AVE STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194380",
            "telephone_number": "651-735-4661",
            "fax_number": "651-735-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDATION AND IMPLANT DENSTISTRY - DR ANDERSON AND DR YANG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-735-4661"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Sebold, LICSW
• Lauren Secrist
• Secure Housing Assistance LLC
• Secure Housing Solution Services
• Sedation & Implant Dentistry
• Addie See
• Paul Christian Seel, MD
• Marion Dickinson Seeley Kreisman, DOULA
• Amanda Seeley, CPNP
• Todd Seelhammer, M.D.

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.